Logan Scott Nickerson
Logan Scott Nickerson is a Mental Health Counselor in Peoria, Illinois. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
7820 N University StPeoria, IL 61614-1220
Phone: (309) 202-2208
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1427919869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 24, 2025 |
| Last updated in NPPES | November 24, 2025 |
| Certification date | November 24, 2025 |
| Mailing address | 1717 W Bradley Ave, Peoria, IL 61606-1055 |
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